ALISON J. GUILE MD
NPI 1417906629
Internal Medicine in Plattsburgh, NY

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
23 HAMMOND LN, PLATTSBURGH, NY 12901(518) 561-1322(518) 561-3420 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Alison J. Guile Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISON J. GUILE MD (NPI 1417906629) is an individual internal medicine provider in Plattsburgh, New York, licensed in New York (197842) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with The University Of Vermont Health Network-alice Hy, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417906629
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALISON J. GUILECredential: MD
Location Address23 HAMMOND LNPlattsburgh, NY 12901-2000
Mailing Address23 Hammond LnPlattsburgh, NY 12901-2000 · (518) 561-1322 · Fax (518) 561-3420
Fax(518) 561-3420
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1989
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1417906629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 197842
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23 HAMMOND LN, Plattsburgh, NY 12901

Secondary Practice Locations 2

Location 116 3rd St Ste AMalone, NY 12953-1367 · Phone (518) 824-2562 · Fax (833) 941-5091
Location 224 4th StMalone, NY 12953-1350 · Phone (518) 824-2562 · Fax (833) 941-5091

Other Identifiers 1

Medicaid01559333NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alison J. Guile Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749343549
PECOS Enrollment IDI20090105000531
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
290 services85 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
212 services92 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
145 services66 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
35 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
32 services21 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
29 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier20 claims240 services$1.71 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$4.82 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims69 services$2.88 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$45.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$106.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
23 HAMMOND LN
PLATTSBURGH, NY 12901
Physician Assistant
23 HAMMOND LN
PLATTSBURGH, NY 12901
Internal Medicine
23 HAMMOND LN
PLATTSBURGH, NY 12901
Internal Medicine
23 HAMMOND LN
PLATTSBURGH, NY 12901
Physician Assistant
23 HAMMOND LN
PLATTSBURGH, NY 12901
Physician Assistant
23 HAMMOND LN
PLATTSBURGH, NY 12901
Nurse Practitioner (Family)
23 HAMMOND LN
PLATTSBURGH, NY 12901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alison Guile's NPI number?

The NPI number for Alison Guile is 1417906629. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Alison Guile located?

Alison Guile practices at 23 Hammond Ln, Plattsburgh, NY 12901. The listed phone number is (518) 561-1322.

What is Alison Guile's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alison Guile enrolled in Medicare?

Yes. Alison Guile is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alison Guile affiliated with any hospitals?

According to CMS data, Alison Guile is affiliated with The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Alison Guile was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.